Haytham Kaafarani
@hayfarani
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Professor of Surgery @HarvardMed | @MassGeneralNews Hospital Safety/Quality Director & Trauma Medical Director| Tweets= personal opinion
Boston, MA, USA
Joined April 2013
"Every physician & nurse knows well what it is: deeply connecting with the patient beyond learned compassion techniques and “owning” their care. For many, this connectedness is one of the few things that make the hardship of taking care of ill patients worth it.".#Ptconnectedness
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Update tweet from the #COVIDー19 ICU Trenches:.1. Staff morale is high.2. Real sick patients: 18/18 patients intubated, 11 prone.3. Age range: 30s to 80s.4. ICU nurses are heroes: watching them prone a patient in < 3 min is humbling.5. Proning works.6. No families around is sad
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My 3 cents for #Match2022:.1. IMGs are needed & enrich. 2. #IMG does not sum up or define an applicant. They have different shades & stories. Ask about #distancetravelled.3. Prejudice & discrimination hurt. The blanket statement "our program does not take IMGs" will not age well.
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From being told 2 decades ago, as a hopeful @AUB_Lebanon student "we do not take IMGs", to Full Professor @Harvard @harvardmed @MGHSurgery today, this was a challenging journey. I could not have done it without the support of amazing family, mentors, & friends. #Grateful.
Congratulations @hayfarani on his appointment to Professor of Surgery at the Harvard Medical School.
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My advice to interns starting soon:.You are not here to prove anything to anyone. Focus only on: 1) taking care of patients as if they were your own family members, 2) always being honest, & 3) having a learning attitude & mindset. For the surgical interns: scrub in the OR.
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I am humbled by @TJCommission trust, excited for the national responsibility & impact potential, & promise to bring the bedside clinician's voice to the highest levels. I will retain my clinical appointment @MGHSurgery.
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Son: Daddy, I think I want to become a surgeon. Me (with mixed feelings of pride & apprehension): How come?. Son: I want to tickle the intestines. #medtwitter .#surgparenting.#thuglife
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للدكتور مارون خوري ، عندي سؤال واحد: كم مريض كورونا عم ينازع الموت عالجت؟ يا جماعة، حكيه مغلوط 100%. عندكم بلبنان أطباء و اخصائيين بيفهموا، رجاءً اسمعوا منهم مش منه. مع تحيات جامعة هارفارد يلي نسب لها حكي مش صحيح. كلنا في هارفارد سنأخذ اللقاح ونؤمن بالعلم وليس بالتهريج الاعلامي.
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#COVID19 is more than a respiratory disease. Please help disseminate to front line intensivists & surgeons: GI complications in 141 critically ill patients at Mass General:.* 74% w/ ons or more GI complication.* Severe Ileus.* Ogilvie.* non-classical mesenteric ischemia
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2 incidents, 4 days apart, one with hundreds escaping poverty/war & one with 5 men who paid 250K to enjoy an extreme adventure, dying. First with no rescue efforts or media coverage; second with minute-to-minute coverage & billions spent in rescue efforts despite the odds.#Titan
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This month, I joined the editorial board of the @AnnalsofSurgery - probably the top surgical journal. All I can think of now is how bad I felt years ago when I received the 4th consecutive rejection email for my 4th attempt to publish in it. #grateful.
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Today, I became a #USA citizen 🇺🇸. I was not born American; I chose to be American. The quote that comes to mind, today, is that there is nothing wrong in America that cannot be corrected with what's right in America. I will be #Voting in #Election2020, for a woman president.
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Salute to all the couple #COVID19 fontliners from a family of 2 intensivists. #whoiswiththekids ?
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Today, I was inducted into the American Surgical Association, the oldest (1880) & most prestigious surgical society in N. America. But it was never about the destination. It was always about the ride. These two keep the ride fun & real. #AmerSurg24. @JosephSakran @TopKniFe_B
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Humbled to be the recipient of the @AUB_Lebanon Surgical Alumni Academic Achievement Award (& Service Award) during the @AmCollSurgeons congress. Humbled because the first recipient was the late Shukri Khuri, the founder of NSQIP. #ACSCC22
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Last 2 years have been tough. My 2 cents for each of us:.This nurse by bedside might be struggling w/ childcare- be extra kind. That resident calling a consult might be missing his family- be understanding. The surgeon you called might be dealing with an ill parent- forgive her.
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"A good mentor is someone who has more imagination about you than you have about yourself, makes you feel more grounded than before and lighter than air.". What Is a Mentor? | NEJM
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A common sin to avoid as a new resident/intern is to "wait for the radiology read" on a sick patient. Seek the radiologist.
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To the incoming surgical interns: the next 2-3 years are hard. You will question if you can do it. You will question your choices. You will question if it's worth it. We ALL asked the same questions years ago. It is absolutely and totally worth it!.#love_surgery.#bestofluck.
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If you like surgical history, but find yourself talk about surgery in the Greek and Roman times, then jump awkwardly from 400 to 1500 AD, I recommend you read about Avicenna and Albucasis. Happy to lend you the book below, if you want. #SIS2022
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Sometimes, when life knocks you one time too often, you need such unexpected (and welcome) news to keep you on track. Thrilled, grateful & humbled.
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Controversial: 20% of the surgical workforce is made by IMGs. "We do not take IMGs" is discrimination. The few programs that say that might not see it now, but will in a few years. Thankful for @MGHSurgery for setting the tone right & offering the top IMGs interviews & spots.
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"You are an IMG. You are at the bottom of our list. Why should I waste my time?" .I tell this story so you remember that this minor hiccup does not define you, that it is a minor blip in your journey, & that it might actually motivate you later in life. Chin up. Never give up.
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My loved ones are in #Beirut. Thousands of loved ones are dead & injured. Hospitals are at full 100% capacity. Medical colleagues are asking to get this message out: #Lebanon needs international emergency assistance today, not tomorrow. #SOSLebanon .#BeirutStrong.
من بيت اختي بكورنيش المزرعة و كان ابن اختي يلي عمرو 6 سنين ميت رعبة😥🙏#لبنان.#بيروت
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While I am proud of my #matched mentees (shout out to @MGHSurgery @BCM_Surgery @UVASurgery @evmssurgery @TTUHSCSurgery @USC @MGHMedicine ), the #matchday leaves me with mixed feelings: I cannot help but think of those who didn't match. For those, a short story (thread, 1/3):.
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I am a trauma surgeon (and parent) who has scarred many other parents being the one telling them their loved one did not survive #gunviolence. I am among so many passionate #DoctorsForGunSafety.
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#match2022:.1. To PDs: Don't define IMGs by that label. Ask about the amazing resilience stories & distance travelled. 2. To Applicants: Put your stories in a tweet & tag us, we will amplify. 3. Kickstarting stories: @ak_elissa from 🇱🇧, @argandykov from 🇰🇿, & @eljefe_md from 🇲🇽
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اليوم، أخدت اللقاح. لا عوارض على الاطلاق. لكل المرضى إلي حاولت عالجهم بالأشهر الماضية وفقدوا الحياة و لعيلتي وولادي, هيدا اليوم الكم. نشالله 2021 أحسن. Happy New Year!
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The #BeirutBlast (largest urban explosion since Hiroshima) #BASS multicenter study is now published @AnnalsofSurgery & summarized in figures & thread below. We dedicate it to the memory of those lost, scars of those injured, & heroism of those who helped on August 4, 2020. (1/5)
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We received 139 applications from > 20 countries to our MGH research fellowship. We read every application in detail & sent interview invitations using our best & fair judgment. It saddens me to know we are most certainly passing on quite a few who will be stars. For that: sorry.
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For years, I struggled to choose my ethnicity on every form I filled. Please help me welcome the new MENA category approved by the Office of Management and Budget. A great first step. This is big. Will we start being heard now?.#MENAheard
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The audacity. I care about my patients. You care about profit margin. #GunViolence #gunsense #Docs4GunSense.
Someone should tell self-important anti-gun doctors to stay in their lane. Half of the articles in Annals of Internal Medicine are pushing for gun control. Most upsetting, however, the medical community seems to have consulted NO ONE but themselves.
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The way we did it back then indeed was NOT healthy. You know how I know? From the sound and vibrations of my car drifting off the road as I fell asleep behind the wheel in residency. 3 times. #changetheculture.
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It's official. The @AmCollSurgeons @ACSInterntl has now created a subcommittee dedicated to the #IMG in surgery issues. We need your feedback to shape its concrete goals & path. Please give the feedback & circulate. #excited .#Itsabouttime
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I salute the @AmCollSurgeons for not shying away from controversy: no appendectomy or cholecystectomy during the pandemic? Might keep patients longer in the hospital but potentially decrease risk of postoperative complications & staff exposure. Thoughts, acute care surgeons?
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The Operating Room is where we need to heal not harm patients: safety cannot be compromised. Years in the making with contributions from the best experts in the field: Proud to finally have this in print. @MassGeneralNews @MGHSurgery @AmCollSurgeons @ACSInterntl @AUBMC_Official
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I was a resident years ago. I fell asleep due to fatigue once while walking and once while driving. NO ONE works as hard as residents. Happy "Thank a resident" day. You rock.
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You know why I hear you? Because I have felt, like you, that nauseating feeling of unjust humiliation, discrimination & bottomless vulnerability. Only difference? I felt it in airports not streets, as I carry my identity in a passport, not in my skin color. #GeorgeFloydProtests.
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While I feel sorry for not being able to join the healthcare research symposium of the amazing Arab conference at Harvard #ACH2024 as a presentation judge, spending time with this one made it very easily worth it. #Priorities
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Legend has it that Beirut was rebuilt from the ashes 7 times, making it an urban phoenix. It shall rise an 8th time. Please donate here to the American University of Beirut (AUB) Disaster Fund to help: .Spread the word please.#BeirutStrong.#BeirutPhoenix
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Heartfelt congratulations to >1000 initiates from all over the world!.From being an initiate a few years ago to a Marshal at the #ACSCC23 convocation ceremony, I am grateful for THE house of surgery @AmCollSurgeons, every principle it stands for, & the camaraderie of a lifetime.
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Our 5 research fellows/medical students matched in Surgery: @leon_naar @ElmohebM @OsaidalserMD @Apogait and Ava Mokhtari. If I am so proud now, how will I contain myself when it is my actual kid?.Please take a moment to congratulate them- They worked real hard for it. #flyhigh
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BASS means "enough". We dedicate this to the memory of those who died, the wounds of those who were injured, and to the heroism of all who selfishly helped on August 4th, 2020. #Beirut.#Beirut_Hospitals_Come_Together.We will share the data once published.
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My friend, brother, and inspiring colleague, @JosephSakran (watch below), saying it as it is: we, trauma surgeons, are done accepting this @NRA non-sense, and breaking the awful news to families of #GunViolence victims, over and over again. DONE. #thisismylane .#ThisIsOurLane.
"That communication and rhetoric that we've heard from the NRA is a clear demonstration to myself, the medical community, and Americans all across the country that they're not serious about moving the needle forward on this issue." Dr. @JosephSakran on gun control. #Hardball
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ما بحياتي كتبت سياسة، بس لما الوضع يوصل ليؤثر على صحة أهلي وعيلتي وأحبابي، صعب السكوت أكثر. لكل واحد مسؤول بلبنان هلق (قد ما مفكر إنو مش إنت المشكله): زيح. في مئات من اللبنانيين قادرين يحلو الأزمه أو علقليلة يحاولوا: اقتصاديين، مهندسين، أطباء، مفكرين. زيحو دخيل ربكن. #زيحو.
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Elissa is a superstar. Instead of having her automatically screened out of #Match2023 interviews, ask her about her:.1. Distance travelled.2. Hometown, Tyre, one of the oldest in the world, & its relationship to Alexander the Great.3. @AnnalsofSurgery paper.4. Love for books!.
It’s ERAS season 📍 Looking forward to all the beautiful people and exciting journey to General Surgery #Match2023. From Lebanon 🇱🇧 to Pittsburgh 🇺🇸, through @USJLiban and endless support from @hayfarani , can’t wait to find a home & take the next step towards trauma surgery 🏔
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Does anyone else besides me get the urge to pick that vessel up with a DeBakey and just buzz it?.
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Do not automatically assume surgeons are good at "carving the Turkey". Some are better at getting to its inside quick. Happy Thanksgiving from your local trauma surgeon.
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To all of you facing a deeply painful personal failure: In 5 to 10 years, you will look back at that same failure, and recognize it as an essential formative component of how well you will be. #postcall_wisdom .#medtwitter
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Today is Christmas. Both my wife & I are working. She is covering the MICU. I am covering Trauma & Acute Care Surgery. We have 3 kids. They are home. This tweet is simply a shout out for all the other #physician_couples_working_holidays.Anyone else?.
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Proud of our team w/ our newest publication in @JAMA_current : Propensity-Score matching of COVID & non-COVID ARDS patients suggests that COVID patients have a disproportionately increased risk of GI complications & mesenteric ischemia -->#COVIDBowel.
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١٨ سنة في الغربة، حياة ورواق ولا أحلى، راسمالها غنيه لفيروز الأحد الصبح ليعرف الواحد إنو #لبنان وبيروت ما بيطلعوا من راسن. #لبيروت.#نتزع_نهارنا.
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I kindly ask the authors & @JSurgEduc to add "for US Medical Graduates" to the title- the study didn't include IMGs. An #IMG can have all these & many more, & still get zero interviews, yet alone match. With an advocate, most PDs are fair & will correct the unfair #screening_out.
Predictors for Successful Residency Match in General Surgery.#MISIRGlobalSurgery #SoMe4Surgery .@Cirbosque @JSurgEduc
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The moderator of the next #Debates2020 should perhaps be a trauma surgeon, restoring order to chaotic situations. #Embarrassing.
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Super proud of @LMaurerMD matching for Trauma Surgery @UPennTrauma. Simply the best getting the best. @MarkSeamonMD @nielsmd @SSRazaMD : promise to let her come back to us @MGHSurgery after fellowship.
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Mixed feelings each year. However, seeing this year a prior fellow become a @TraumaMGH partner, 2 becoming @MGHSurgery fellows & many changing the surgery world everywhere makes me feel better about the ever changing but always diverse & most productive team. 🇺🇸🇰🇿🇬🇷🇱🇧🇵🇸🇲🇽🇳🇬🇳🇱🇩🇰🇹🇷
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"War ends. Leaders shake hands. The old woman still awaits her martyred son. The young lady continues to wait for her beloved husband. Those kids continue to wait for their hero father. I don't know who sold the country, but I know who pays the price.". Mahmoud Darwish.#Ukraine
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Layla (3 year old): "Don't touch Daddy, he has "conora" virus!".The hardest part for me in the last 2 weeks was coming back home & not being able to hug my kids. #COVID19.#Ineedahug.P.S. I do not have it (?yet).
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You know why so many celebrities are testing positive? Because they have preferential access to testing kits, while most of our hospitals are struggling to screen who we should use our limited supply on. #CoronaVirusUpdate .#CoronaOutbreak
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If you know an #IMG who received recently or in the past #match interview rejections because, no matter how good they are, "our program does not take IMGs", tag 3 #superIMGs that rock. @kmfitani1.@TopKniFe_B .@DissanaikeMD
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Just when I start feeling guilty because of too many nights late, on call or away, I come home to find each of them devouring a book before sleep. We must have done at least one thing right. #surgparenting .#raisingbookworms
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Humbled but super excited for this new role and looking forward to working with all the amazing minds in Surgery, Anesthesia, Orthopedics, Neurosurgery, IR, OBGYN, ENT & OMFS to make MGH the indisputable leader in safety & quality!.@MassGeneralNews .@MassGeneralMDs .@MGH_RI.
It is our pleasure to share that Haytham Kaafarani, MD, MPH, FACS will serve as the inaugural Physician Director for the #MGH Surgical Quality and Safety Center. @hayfarani
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Our newest @CovidSurg study focusing on US patients is now published & available free in @AnnalsofSurgery:. Proud of our @MGHSurgery (esp. @OsaidesserMD) & @CovidSurg (esp. @aneelbhangu & @dnepo) teams everywhere coming together to bring data!
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Proud to see @ak_elissa's name here. Her smart, dedication, distance travelled, poise and palpable passion for surgery will take her far. Congratulations to @NMSurgery !.
Congratulations to the Department of Surgery on their Matches in General Surgery, Plastic Surgery, Cardiothoracic Integrated Surgery and Vascular Integrated Surgery! We can’t wait to meet you!
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@TheLancet released the embargo on our @CovidSurg study:.⬆️⬆️ postop mortality.⬆️⬆️ postop pulmonary complications.Data supports earlier decision to postpone elective surgery. Super-Proud of this 🌍 collaboration. #surgeonstogether.#datareplacesanecdotes .
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Can IMGs contribute to the solution?. If so, can we create a fair non-discriminatory match system that accepts the need for a certain percentage of positions being filled by IMGs?.
We have a shortage of general surgeons in the US- especially in underserved areas. Honored to represent @AmCollSurgeons at #SESC24 in a discussion of the role of the Mastery in General Surgery Program in addressing this issue #MGSP.
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I haven't had the courage to share this from my 2nd @MSF mission to DRCongo 4 years ago till now: I was called to see a seizing 8 year old boy. He was brain herniating from a head trauma. I couldn't save him. I cried. His mom held my head & told me:"I know you tried your best".
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In 2003, as an IMG applying to #surgery, I walked into one of my few interviews. For 5 long minutes, the person interviewing me did not get up the desk, did not acknowledge my presence despite my repeated greetings, kept flipping my application, and finally said:. (2/3).
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"Daddy, do not worry, you will be fine, I will take good care of you.". Translate (note to self)= never forget that patient safety always starts at the bedside and always ends by the bedside, not behind a desk.
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Do not miss it: 3 Department Chairs from @AUBMC_Official @LAUMCRH & St-George hospital, 3 of the main hospitals in #Beirut, share with us their experience with the largest urban mass casualty disaster since Hiroshima/Nagasaki explosion. @AmCollSurgeons @ACSTrauma @ @bulgercot.
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It is truly uplifting to see all the happy faces of #Match2022! A particular shoutout to @AnthonyGebran & @AnderDorken , two superstars from our @mghsurgery research team, graduates of the iconic @AUB_Lebanon & @UniversiteEge: both matched @PittSurgery !.Sail along. Yes, you can.
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Does appendicitis have a familial or hereditary component?. The answer might lie in NEDD4L. Proud of this work published in @JAMASurgery . @MGHSurgery @MassGeneralNews @harvardmed @MahaFarhat @Apogait @kerry_breen.
A genome-wide association study identified a new genetic locus within the NEDD4L gene to be associated with acute appendicitis. NEDD4L was also among the top differentially-expressed appendiceal genes between appendicitis patients and controls
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هذه الدراسة من #لبنان سحبت من المجلة الناشرة. ليست مغلوطة فحسب، بل على الأغلب مغشوشة أو مفبركة. ولو؟ اقترح إجراء تحقيق أكاديمي جدي في الموضوع في كل الجامعات المذكورة. حياة الناس ليست لعبة. #retracted
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Patient Safety should return where it belongs: the patient's bedside. Think of the last unstable trauma patient hitting your ED & you will quickly realize: NO one knows the importance of effective leadership & closed-loop communication to save a life, better than a Trauma team.
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Trainees: Demystify the care of your patients!. 1. Do not be satisfied by only reviewing the notes/reports. 2. Go to your patient's endoscopy.3. Watch IR do the embolization.4. Review the images with radiology.5. Look at those bleeping pumps & ask the nurse how they function.
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Celebrating #America with a week-long road trip as new citizens, we found out it is great ALREADY, and its greatness can be summarized in 3 words: Liberty, diversity and openness.
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For those of you now refreshing the #MatchDay2022 browsers incessantly: I am super excited for you! Fully embrace where you match, keep your patients always at the center of it all (no matter what), keep a humble growth mindset, & be kind to every single hospital colleague.
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The Surgeon as the 2nd Victim: "Our Profession is Hard enough without our having to wear the yoke of perfection". Great across the border discussion between Boston & Toronto!. Humbled & grateful for @injurydr for the invitation to give Surgical Grand Rounds @Sunnybrook & @UofT
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My wife & I, both intensivists, were able to dedicate ourselves fully to take care of sick #COVID19 patients because of our amazing #aupair. @realDonaldTrump banning J1 visas for #aupairs especially hurts those who work unusual hours, including couple doctors/nurses, like us.
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The @MGHSurgery trauma research team is everywhere at #ASC2024. That's 1/2 the story. Ask them about the distance travelled.@RafaqatWardah - @AKUGlobal .@VahePanossian - @AUB_Lebanon .@EmanueleLagazzi - @HumanitasMilano .@ICNzenwa - @LivUniMedicine .@annehhoekman - @UvA_Amsterdam
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Update from the #COVID19 ICU trenches:.1. Liberated several patients from the vents --> floor. Team needed the wins; smiley faces on room glass when extubated. 2. Hypercoagulopathy --> heparin drip if clotting lines & d-dimers rapidly escalating. PTT 70-100
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Excited today for the official launching of the MGH Center for Outcomes & Patient Safety in Surgery (COMPASS):.Bringing back safety & quality to the bedside!.#COMPASS
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Artificial Intelligence to predict the risk of postoperative mortality and complications in the Emergency Surgery patient. POTTER is now free to download on Android & iPhone platforms. #AmerSurg18 .#ArtificialIntelligence .#MachineLearning
Day 2 Scientific Session at #AmerSurg18 Surgical risk is simply not linear: Derivation and validation of a novel and interactive machine-learning Predictive OpTimization Trees in Emergency surgery Risk (POTTER) calculator #LiveVisualAbstract
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If one theme captures the magic of that weekend, it is this:.#Lebanon is beyond resilience and will thrive despite the 3 strikes of #Covid, economic collapse & the #beirutblast. @AUB_Lebanon simply leads, especially in times of crises, and its friends are many and truly care.
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Supporting a loved one through major illness & spending the night in their hospital room a few times has truly been eye-opening. With 22 years in medicine, I thought I saw it from the patient's eyes; I did not. I will be a better surgeon because of this.
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Filmmakers, a small request: I have 3 kids growing in the US. Can you, every now & then, show the exciting humanity of Arabs in movies? It is not all desert, camels, extremism, or exotic dancing. There is love, families, humor, poetry & everyday struggles.
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The smartest & strongest woman I know. #HeForShe.
Congratulations to Maha Farhat, MD, MSc (@MahaFarhat) for her well-deserved promotion to Associate Professor of Biomedical Informatics, and Associate Physician! Dr. Farhat uses genomics and informatics to understand & better control drug resistant tuberculosis & other infections.
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The more we do science, the more dogma we discover and the less interventions we do. 1. Sometimes, it's ok to step back and watch the body heal itself. It's magic. 2. Minimize your thumbprint on patients if they do not need it.
New in Annals - The DINAMO Study is a multicenter, randomized, non-inferiority trial that investigated non-antibiotic outpatient treatment for mild acute diverticulitis @SerraAracil #OpenAccess.
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Thoughts from the #COVID19 ICU Trenches.1. Morale still high. ECMO decannulation & extubation wins necessary for team.2. Weaning ARDSnet: P/F now >200-> D/C proning-> tolerated? wean FiO2 to 30%-> tolerated? wean PEEP til 8 (10 if obese)-> tolerated? PSV -> SBT for at least 1 hr
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"Treatment categorically rather than individually", as below, meets the definition of discrimination in the case of IMGs. I know some disagree, but their disagreement will not age well, mark my words. #IMGs: May such discrimination be the fuel for your amazing careers to come.
This email depict the sad reality of pursuing surgical training in the US as an IMG. Most of us are often filtered out during the process and aren’t even looked at. Diversity & inclusion efforts should also consider IMGs. We do bring a lot to the table. @Medtwitteer #Match2023
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In these special times of the year, remember that, in the end, 2 words matter only: family & friends.
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Trying to think positive:. At least the #coronavirus pandemic is reminding all humans that borders are simply a fictionary human creation.#staywellmyfriend wherever you are.
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"It always seems impossible until it's done". A call for all patients, nurses, & physicians, esp. trauma surgeons, to see that we may be at a tipping point in making a difference in #gunviolence. #togetherwewill.#ThisIsOurLane.#ThisISMyLane. @JosephSakran.
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That eery feeling of uncertainty is uncomfortably too familar for people who grew up in turbulent times & places, like myself. However, the renewed sense of deeper connectivity with family & friends is also comfortably familar. #coronavirus .#Lebanon.
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Quote of the day:.Accountability, meaningful M&M & supporting each other are not mutually exclusive in Surgery. Au contraire, they are synergistic. Missing #EAST2024 for the 1st time in years but grateful for @TempleSurgery for hosting me for the Annual Horowitz Grand Rounds.
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